Individual
DR. MINA OH RAKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25865 BARTON RD, STE 101, LOMA LINDA, CA 92354-3895
(909) 558-3364
Mailing address
25865 BARTON RD, STE 101, LOMA LINDA, CA 92354-3895
(909) 558-3364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301092770
MI
207R00000X
Internal Medicine Physician
A96170
CA
207RG0100X
Gastroenterology Physician
4301092770
MI
207RG0100X
Gastroenterology Physician
Primary
A96170
CA
207RT0003X
Transplant Hepatology Physician
A96170
CA
Other
Enumeration date
05/30/2007
Last updated
11/03/2023
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